| NPI | 1932075306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT7062) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23862) |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |